Organization
POSITIVE LEARNING SOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE BOSSE (DEVELOPMENTAL THERAPIST)
(312) 718-7711
Entity
Organization
Contact information
Practice address
4503 N OAKLEY AVE, CHICAGO, IL 60625-2164
(312) 718-7711
(312) 246-4044
Mailing address
4503 N OAKLEY AVE, CHICAGO, IL 60625-2164
(312) 718-7711
(312) 246-4044
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/03/2011
Last updated
11/30/2012
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